Guidance for providers as per Core Agreement Schedule, Section 13.7

Low Level incidents that indicate safeguarding may not be required

INJURY – which may include:

A pressure area/sore of Grade 2 or below

A superficial cut or skin tear or graze

Witnessed slip/trip/fall

People requiring mobility assistance who are lowered to the ground

Moving and handling no harm

Appropriate restraint

An injury which only requires first aid attention only, or reassurance from care staff

An injury which only requires qualified medical attention from a community nurse or a GP

An injury which results in paramedic attendance, but doesn't result in being taken to hospital

Medication error, omission of non-controlled drug with no harm

DISTRESS – which may include:

When an individual shows no lasting distress following an incident

When an individual exhibits behaviour that does not disrupt others, but may indicate something is wrong and assistance is needed

Missing items – no theft

Experiencing pain which can be treated with PRN medication e.g. aspirin, paracetamol

Any low level incident can become safeguarding in these circumstances

Pattern of missing items where theft is suspected

Repeat low level incidents with no evidence of preventative action being taken by provider to address

Repeat incidents between service users including where there are common perpetrators

Incidents that occur that were avoidable (including where care plan is not being followed)

Incidents indicating harm and the need for a safeguarding enquiry

INJURY – which may include:

Injuries resulting in permanent damage, or damage that lasts

Any damage to major organs of the body

Bone fractures

Significant damage to muscles, tendons, joints or vessels, e.g. dislocation

Significant skin tears in terms of dimension and depth

Significant blood loss

Significant bruising

Inappropriate restraint

Head injuries requiring qualified medical attention

Injury or incident requiring hospital admission

Pressure sores of grade 3 or more

The individual's life expectancy has been shortened

The individual's death as a result of the incident

Prolonged pain or prolonged psychological harm

Medication error, resulting in harm, administration of covert medication without authorisation and omission of controlled drugs

DISTRESS – which may include:

Individuals having lasting distress following an incident

Individuals who exhibit a direct threat to themselves or to others

Highly disruptive/challenging behaviours (hostility, aggression, violence, etc.) impacting on others

Appearing uncomfortable or highly emotional whilst talking about the incident or disclosing the circumstances

New or repeated behaviour which pushes the limits and interferes with effective management of the environment

Sexualised behaviours affecting others

Deliberate harm by staff, including threatening behaviour

Theft by person in position of trust

Missing Person